Ketogenic Diet - Powerful Dietary Strategy for Certain Conditions

Re: Ketogenic Diet - Path To Transformation?

SMM said:
I think I'm familiar with the hypomania you speak of...
The digestive enzymes I currently use contain 100mg of Betaine HCL, no pepsin [because I couldn't find one that didn't contain milk], & I take one capsule/meal. I get hypomanic typically after periods of physical activity especially for extended periods, peaking after meals. It could be related to something else, considering mental health history - would be interesting to increase dosage to see what effects it would have. How long have you taken 8 per meal?

For sure, it'd be an interesting discovery.

The other brand, the one I used originally, contained dairy and probably other things I didn't want as well. The present brand contains pepsin, but if there is any dairy in it then it isn't listed. I think this is my 3rd or 4th day at 8 capsules (over 5 grams!). I worked up in stages from the recommended dose of 1-2 capsules per meal. I have yet to feel any side effects and I may go a little higher yet, but I am not in a hurry to do that.
 
Re: Ketogenic Diet - Path To Transformation?

Megan said:
I think I am making progress with my KD tweaks to fix my digestion. I am up to EIGHT (!) betaine HCL capsules per meal (2 meals/day, usually) and something is happening. It's possible that my brain is receiving more nutrients, and maybe even more fuel (I need to recheck my glucose and ketones). My GI tract is slower to adjust (it operates on a scale of days rather than milliseconds, after all) but it feels a little better too, although still quite gassy.

At the moment the main problem is that I am hyper. It could be a "jet fuel" effect I suppose, as we discussed a couple of years ago in the LWB topic, but I am really not all that energetic even now, at least not yet (give me a little more time). This is creating strategic enclosure issues and just-plain-being-annoying issues as I try to figure out the controls for it and readjust.

I'm not quite sure what is up with this, but I am sure that it is a better problem to have than what was going on before!

I checked my ketones last night: 1.2 mmol/L. That's an OK reading for me. The last before that was at the end of March when they were down to 0.8.

When I first got the ketone meter, late last fall and on into early winter, I was seeing readings of over 2.0, but since increasing veggies (not so much carbs per se) the readings have dipped. That could be due to diet changes, or it could reflect the fact that I have not felt well from March until now.

My hypothesis now is that the ketone levels are linked to blood glucose levels, that my fasting glucose has risen again (it has), and that the elevated glucose level may relate to iron loading, although not of the extreme kind found in hereditary hemochromatosis. If I continue to feel better, I will try to donate some blood, wait a bit, and then have another look at my fasting glucose. I was going to check it this morning but I awoke to a flood of new forum posts and forgot to do it. :shock:
 
Re: Ketogenic Diet - Path To Transformation?

Megan said:
I checked my ketones last night: 1.2 mmol/L. That's an OK reading for me. The last before that was at the end of March when they were down to 0.8.

When I first got the ketone meter, late last fall and on into early winter, I was seeing readings of over 2.0, but since increasing veggies (not so much carbs per se) the readings have dipped. That could be due to diet changes, or it could reflect the fact that I have not felt well from March until now.

My hypothesis now is that the ketone levels are linked to blood glucose levels, that my fasting glucose has risen again (it has), and that the elevated glucose level may relate to iron loading, although not of the extreme kind found in hereditary hemochromatosis.

I found that my ketone levels are supremely dependent on protein intake since I went low-carb. I literally have to weigh the meat I am eating. I have around 150 g of fatty meat twice a day and with that I had a BOHB level over 5 mmol/l yesterday. But as soon as I marginally increase my protein ration, BOHB levels drop to around 1 - 2 mmol/l. The veggies I take (sauerkraut, kale, brussel, cauliflower etc) don't seem to make a big difference - some days I have some, some days I don't ...

Of course, BOHB levels and glucose are tied in, the higher the glucose, the lower BOHB. Interesting thought whether glucose metabolism is tied in any way to iron metabolism, it's not an obvious connection. Interested to see how you go once you start donating blood.

Whether or not iron levels are connected to the glucose metabolism, iron sure is the big "elephant in the room"; I am still amazed that "normal" range of iron so massively extends into what we have come to appreciate as truly toxic levels ...

Another piece in the psychopathic puzzle ...?
 
Re: Ketogenic Diet - Path To Transformation?

As far as hypomania, I don't think this can really be separated from splitting and identification. I have experienced this sort of thing many times myself. One explanation is that it could be related to "abuse of sex". In my observation it is closely related to the sexual state. It requires more effort to remain critical. I can exert a degree of control on this state - but you must be really honest to yourself to be able to see any reason to detract from the experience. Sometimes I have not simply because it was helping me to accomplish goals I had at the time, but I have not drawn a conclusion on whether it was genuinely helpful or not. Other times I have become much more watchful of myself, which balances the euphoria and seems to act as a "slow burn". I think that things that you do in this state can be driven deep into your subconscious. If you try to "possess" the euphoria and act on more negative impulses that ordinarily you would not even consider, it will leave you feeling "screwed up" for a long time. This state seems to insulate a person from their internal narrative, and when "normalcy" returns, a person will reconcile with this narrative, for better or worse. The outcome of this state depends strongly on self-control and non-anticipation. Because you feel emotionally unrestricted, you must be active in controlling yourself by thought.

I am reminded of G's "accumulators" of the centers. The only thing I can characterize this state with seems to be a great flow or surplus of a certain kind of energy. Your actions direct this energy in certain ways; some actions discharge it like a capacitor while others preserve it and drain it in a controlled way. Perhaps it is sexual energy? I don't know what would cause such a surplus however - could it be exhaustion of the small accumulators as G describes or could it be something else?

When this occurs, the great amount of energy tends to dilute the other energies and so tends to becomes the director of a person's actions, unless a great deal of criticality and non-anticipation are applied. Depending on my honesty with myself I seem to be able to use the energy to fuel my introspection - if not the energy itself, then the shock of the whole experience can fuel introspection. After all, it feels you can move mountains and fight bears in this state and who would want to be controlled by their programs and ego while like this?

Do you see a second action in this, as in possibly one center dominates while another is eclipsed, which might explain the diminishing of the narrative?

It doesn't seem like the energy can be suppressed or ignored. If so, it is like a balloon you try to squeeze but it just pops out between your fingers. If not mediated, it can drive all your programs to chatter in your mind against anything that you might not like and it makes you mad, in either sense of the word.
 
Re: Ketogenic Diet - Path To Transformation?

monotonic,

I think you probably have some good points, if only I understood what I am experiencing in those terms. I know that my adrenal sex steroid hormones are normally flatlined -- basically just not there -- and I do wonder what would happen if an increase in nutrient absorption caused me to start producing some of them? Would it have an effect like this? Would it show up as "sexual energy?"

It's interesting that the increased energy I am feeling is mental, not physical. My physical energy is lagging as usual, but my conscious mind seems like it is running at 2x or more (hence my wanting to check ketone level, and a level of 1.2 does not explain it).

I sat down to work this morning, immediately was distracted, and looked up later and noticed that two hours had passed. I have had to work on into the evening to make up for all the time I lost track of today. I can deal with this as I have before, but only by making a conscious choice to set all distractions aside. The normal balance and sense of priority that I usually rely upon doesn't seem to be working.

This has happened to me many times. It appears, hangs around for a while, and then disappears, leaving me wondering what that was all about. I have learned not to fight it, but I do "steer" in various ways such as what I described above. Doing that is much better than taking Zyprexa.

I almost wonder if it is some sort of allergy.

It's hard to see what lower centers are involved. Perhaps that right there is a sign of moving center activity, or even of everything working together. I find myself saying things spontaneously, with better affect and without the effort that I usually have to put into word finding and phrasing things. Statements, questions, side comments, and even jokes pop out with ease. It's like I'm actually starting to develop a personality or something.

At the same time, my ability to focus on tasks diminishes. That's a problem because that is what I am paid to do.

We seem to be saying something similar, using different language. Unfortunately, I don't know if I have even come close to answering your question. I am good with databases; I am not so good with this stuff.
 
Re: Ketogenic Diet - Path To Transformation?

My experience tells me that a decrease in attention span is always a bad thing. Increasingly I am responding to a decrease in attention span as if it were sort of mental pain (since it really does directly impair the way I think), and it always seems to be related to dissociation and a decrease in awareness (or diet/lifestyle). I would suggest you use this "inexhaustible" energy to fuel a constant doubled attention, observing your inner self while you work. This should be easier; with more energy you should have more clarity than normal. Observing your inner responses to your job as you do it may eventually be able to shed some light on what is happening.

This thread might help you understand where I'm coming from and where I get my observations.

http://cassiopaea.org/forum/index.php/topic,31839.0.html
 
Re: Ketogenic Diet - Path To Transformation?

Hi guys, just a note about measuring ketone levels -- Dr. Peter Attia has another very interesting post about fat metabolism and he mentions at the end the following:-

The other myth worth addressing is that the higher the level of B-OHB, the more “fat burning” that is going on. This is not necessarily true at all. As you can tell, I love equations, so consider this one:

B-OHB (measured in blood) = B-OHB produced (from dietary fat) plus B-OHB produced (from lipolysis of TAG) less B-OHB consumed by working muscles, heart, brain.
How does knowing one of these numbers (B-OHB measured in blood) give definitive answers to another (B-OHB produced from lipolysis of TAG)? It can’t. That’s the problem with multivariate algebra (and physiology).

So we could actually have relatively lower serum levels if we are burning BOHB for energy. But the reverse could also be true if BOHB produced by lipolysis of our fat stores + dietary fat rises significantly. This is if his overall theory checks out as true.

Link: _http://eatingacademy.com/weight-loss/how-to-make-a-fat-cell-less-not-thin-the-lessons-of-fat-flux
 
Re: Ketogenic Diet - Path To Transformation?

Megan said:
Megan said:
...At the moment the main problem is that I am hyper. It could be a "jet fuel" effect I suppose, as we discussed a couple of years ago in the LWB topic, but I am really not all that energetic even now, at least not yet (give me a little more time). This is creating strategic enclosure issues and just-plain-being-annoying issues as I try to figure out the controls for it and readjust...

Quoting myself again -- that's perfect. I remembered what this condition is called (it's not "hyper") while listening to Ask the Low Carb Experts. The speaker (a Dr. Wilson) was talking about something related and it popped into my head -- "hypomania." And then a few seconds later he actually used the word.

Now that I have the word and have matched it to earlier experiences, I think I remember how to tone it down. I still don't know what started it, though. I have had bouts of it all my adult life if not before. It used to alternate with depression in a type II bipolar pattern (if there really such a thing; it's debatable), but I resolved the depression and now I just have this now and then. It isn't necessarily related to food or supplement changes. (Or maybe it's a different symtom of betaine HCL overdose. :))

If indeed the bipolar II classification is bogus, it might just be a normal, relatively healthy state with which I am not very familiar because I don't go there often, and maybe I get a little carried away when I do. While I do know of an anti-psychotic that would end it in a jiffy (tried it once; never again), I have another idea -- EE!

If it does turn out to be related to diet, supplements, and/or nutrient absorption, this could be an interesting discovery.

Megan,

Perhaps the increased mental energy/hypomania you describe could be related to the amount of betaine (aka trimethylglycine, TMG) you're taking in, and its effects on the methylation cycle? A little snippet from Wikipedia:

"TMG is an important cofactor in methylation, a process that occurs in every cell of mammals to synthesize and donate methyl groups (CH3) for other processes in the body. These processes include the synthesis of neurotransmitters such as dopamine, serotonin. Methylation is also required for the biosynthesis of melatonin and the electron transport chain constituent coenzyme Q10."
_http://en.wikipedia.org/wiki/Trimethylglycine

In particular, TMG acts a cofactor for an enzyme that can directly convert homocysteine to methionine, which can then be converted to SAMe (which has an effect on mood, and acts as a methyl donor in many other reactions). The longer route around the cycle, in converting homocysteine to methionine, requires methyl-B12 and methyl-tetrahydrofolate (b9/folic acid derivative) as cofactors, and if the enzymes involved there are less active then TMG supplementation can be very beneficial and have quite noticeable effects.

I think I've seen elsewhere on the forum that you've had a 23andme analysis done, and if you're interested you can go to _geneticgenie.org where you can upload your 23andme data for an analysis of polymorphisms relevant to the methylation cycle enzymes. The site also provides a good overview of the methylation cycle, the enzymes involved, and provides some links to other good sources (_http://www.heartfixer.com/AMRI-Outcomes-Non-CV-Autism-Methyl%20Cycle.htm has good illustrations of the inter-locking cycles and recommendations for people with certain polymorphisms).

Also, FWIW, Premier Research Labs betaine HCl is beet-derived, and contains no pepsin or excipients -- just betaine HCl in a veggie cap. Probably not the most cost effective choice (~$15 for 90 caps with 550mg/cap), but perhaps you've got to pay more for less of what you don't want :knitting:
 
Re: Ketogenic Diet - Path To Transformation?


Just a progress report. I have been fully on the diet for about 8 weeks and dropped 10KG.
Feel great and have more energy.
I get the very odd carb craving (any one have any suggestions about that?) but more rare than at first.
It really does work!
 
Re: Ketogenic Diet - Path To Transformation?

beetlemaniac said:
Hi guys, just a note about measuring ketone levels -- Dr. Peter Attia has another very interesting post about fat metabolism and he mentions at the end the following:-

The other myth worth addressing is that the higher the level of B-OHB, the more “fat burning” that is going on. This is not necessarily true at all. As you can tell, I love equations, so consider this one:

B-OHB (measured in blood) = B-OHB produced (from dietary fat) plus B-OHB produced (from lipolysis of TAG) less B-OHB consumed by working muscles, heart, brain.
How does knowing one of these numbers (B-OHB measured in blood) give definitive answers to another (B-OHB produced from lipolysis of TAG)? It can’t. That’s the problem with multivariate algebra (and physiology).

So we could actually have relatively lower serum levels if we are burning BOHB for energy. But the reverse could also be true if BOHB produced by lipolysis of our fat stores + dietary fat rises significantly. This is if his overall theory checks out as true.

Link: _http://eatingacademy.com/weight-loss/how-to-make-a-fat-cell-less-not-thin-the-lessons-of-fat-flux

Yes, I have Peter's blog in my RSS reader and I read every post. (I did not say that I understand every post.) Most of what I have read, generally, has pointed to pretty much anything over 0.5 mmol/L as being a good serum level for "fuel" purposes. If you are eating a bunch of carbs, though, and it is hovering around 0.5, you probably need to cut the carbs.

You can drive it much higher by fasting, but that does not mean that regular fasting of that intensity is a good thing. I was hoping to see higher levels without doing anything special because I hypothesized that the higher levels might help with healing, repairing damage, preventing cancer recurrence and, going back to the theme of this topic, who knows but they might (in conjunction with other things) even lead to "unlocking" something not experienced before. The idea was to be in a deeper state of ketosis than what most modern people would ever reach, for a sustained period of time, and then to see what happens.

Well, I had to give up that idea because my ketone levels just don't go there under normal circumstances. They run 1.0-2.0 except when they dip from higher glucose intake, and that seems to be that. My fat burning seems to work fine independently of ketone level, as long as I don't get carried away with the carbs. "Carried away" would be like 30g/d -- not exactly pigging out on them!
 
Re: Ketogenic Diet - Path To Transformation?

Resistense said:
Perhaps the increased mental energy/hypomania you describe could be related to the amount of betaine (aka trimethylglycine, TMG) you're taking in, and its effects on the methylation cycle? A little snippet from Wikipedia:
...
In particular, TMG acts a cofactor for an enzyme that can directly convert homocysteine to methionine, which can then be converted to SAMe (which has an effect on mood, and acts as a methyl donor in many other reactions). The longer route around the cycle, in converting homocysteine to methionine, requires methyl-B12 and methyl-tetrahydrofolate (b9/folic acid derivative) as cofactors, and if the enzymes involved there are less active then TMG supplementation can be very beneficial and have quite noticeable effects.

I spend quite a bit of time some months ago studying that article. I may originally have just been looking for how to pronounce "betaine" but it was a very interesting article. It is quite possible that TMG was in short supply and that all sorts of things are starting to work again, all at once. I am planning to up the dose again today (by one capsule) because I still haven't found a level yet that is too much.

I think I've seen elsewhere on the forum that you've had a 23andme analysis done, and if you're interested you can go to _geneticgenie.org where you can upload your 23andme data for an analysis of polymorphisms relevant to the methylation cycle enzymes. The site also provides a good overview of the methylation cycle, the enzymes involved, and provides some links to other good sources (_http://www.heartfixer.com/AMRI-Outcomes-Non-CV-Autism-Methyl%20Cycle.htm has good illustrations of the inter-locking cycles and recommendations for people with certain polymorphisms).

That's an idea -- thanks! I had thought about doing that sort of thing, but I had not identified any specific tools or services. I suppose I will have to deal with my usual (possibly justified) paranoia about sharing genetic information, but I also have this strong sense that if I don't rectify these problems I'm not going to be around much longer. That is not paranoia -- I have been doing a lot of genealogical work lately and I am almost 63 years old and it becoming crystal clear that people really do not live forever and it's getting closer! The gut is absolutely critical to health in general, and if it's not working right then you have GOT to heal it. That's my problem, and that's what I am working on. (Although there is the heterozygous APO-E3,4 finding from 23andMe as well; another reason to want higher ketone levels as well. Those SNPs correlate with increased risk of dementia.)

Also, FWIW, Premier Research Labs betaine HCl is beet-derived, and contains no pepsin or excipients -- just betaine HCl in a veggie cap. Probably not the most cost effective choice (~$15 for 90 caps with 550mg/cap), but perhaps you've got to pay more for less of what you don't want :knitting:

The recommendations I have seen so far say to look for the pepsin -- that it is important. If it were just a matter of supplementing to improve methylation, that would be one thing, but I seem to have extremely low stomach acid.
 
Re: Ketogenic Diet - Path To Transformation?

ska said:
Just a progress report. I have been fully on the diet for about 8 weeks and dropped 10KG.
Feel great and have more energy.
I get the very odd carb craving (any one have any suggestions about that?) but more rare than at first.
It really does work!

Many people experience an initial drop in weight as they shed excess water. If you need to lose weight, this is maybe not the fastest way to do it but it is the most sustainable. I lost 50 pounds over a span of two years, and I am at a normal (not overweight) weight now that is holding steady. I hit numerous "plateaus" during those two years, but if you are patient and stick with it it can often work.

There are tons of suggestions in the Life Without Bread topic and in the required reading (books) that goes with it about dealing with carb craves. I'd suggest you start there. One trick I use that might not receive much attention, though, is that (two years into the diet) if I start feeling carb craves, I eat some carbs!

That works if your body is fully keto-adapted and it really is, for some reason (even if it is "just" psychological), needing some carbs. It probably wouldn't work well at all, however, for someone 8 weeks into the diet that was experiencing carb withdrawal. I mention it not as a recommendation, but to suggest maintaining a perspective that carbs are not inherently evil. If you are metabolically disordered, however, and a great many people seem to be, dietary carbs must be treated with caution.
 
Re: Ketogenic Diet - Path To Transformation?

Megan said:
Yes, I have Peter's blog in my RSS reader and I read every post. (I did not say that I understand every post.) Most of what I have read, generally, has pointed to pretty much anything over 0.5 mmol/L as being a good serum level for "fuel" purposes. If you are eating a bunch of carbs, though, and it is hovering around 0.5, you probably need to cut the carbs.

You can drive it much higher by fasting, but that does not mean that regular fasting of that intensity is a good thing. I was hoping to see higher levels without doing anything special because I hypothesized that the higher levels might help with healing, repairing damage, preventing cancer recurrence and, going back to the theme of this topic, who knows but they might (in conjunction with other things) even lead to "unlocking" something not experienced before. The idea was to be in a deeper state of ketosis than what most modern people would ever reach, for a sustained period of time, and then to see what happens.

Well, I had to give up that idea because my ketone levels just don't go there under normal circumstances. They run 1.0-2.0 except when they dip from higher glucose intake, and that seems to be that. My fat burning seems to work fine independently of ketone level, as long as I don't get carried away with the carbs. "Carried away" would be like 30g/d -- not exactly pigging out on them!

Hi Megan,

Do you think that the stuff he writes may be going off-tangent slightly, as in maybe excess theorizing without real hard evidence? Also, what do you think about fasting regularly for lunch? I do it out of convenience, not having to bother with bringing food to work. I've managed to get a ketone meter, I am reading Art and Science of Low Carb Performance, hoping for any pointers for measuring ketones.

As a side note, since I excluded butter I've been able to control my appetite so much better. I used to have strong, almost uncontrollable cravings for food after work -- especially for carbohydrate-rich food like nuts -- that have progressively reduced since removing all dairy. Ditto on the carb sensitivity, I totally feel out of sorts if I don't control my nut intake. I think it's probably due to my abusing sugar and carbs in my younger years. Could be epigenetics too, I don't know.
 
Re: Ketogenic Diet - Path To Transformation?

beetlemaniac said:
...Do you think that the stuff he writes may be going off-tangent slightly, as in maybe excess theorizing without real hard evidence?

Well sure. All the biochemical experts do that. I think he must realize, though, that there is no direct path from results of experiments in the lab to what actually happens in humans in the field (box, cage, rubber room, whatever it is we live in now). Just clues and "scientific inspiration." There is one researcher (I don't remember which one) that likes to use "crap-in-a-bag" to describe the crud that lab animals are typically fed (screwing up the results, of course) that really, truly sees the problem. But that doesn't stop him from theorizing.

Also, what do you think about fasting regularly for lunch? I do it out of convenience, not having to bother with bringing food to work. I've managed to get a ketone meter, I am reading Art and Science of Low Carb Performance, hoping for any pointers for measuring ketones.

I think you have to try it and see what happens. What I get from the experts is everything from "do it as much as possible" to "don't ever do that!" What works for me on many days is to eat a late lunch (2-3 PM, sometimes even 4) and then have a small snack in the early evening if I need it. On the other days I eat closer to noon or 1 PM and still have a small snack in late afternoon or evening. But then my body is not suited for physical work (it makes me sick -- I don't think my metabolism works right), I do very little of it, and I need far fewer calories than most people. Having lost 50 pounds, I need even less than before, and I have adjusted for that by targeting reduced protein intake.

As a side note, since I excluded butter I've been able to control my appetite so much better. I used to have strong, almost uncontrollable cravings for food after work -- especially for carbohydrate-rich food like nuts -- that have progressively reduced since removing all dairy. Ditto on the carb sensitivity, I totally feel out of sorts if I don't control my nut intake. I think it's probably due to my abusing sugar and carbs in my younger years. Could be epigenetics too, I don't know.

Nuts can be awful. Nuts and dairy are among the "four horsemen" that they talk about at scdlifestyle.com (I forget the other two). If your diet isn't working to correct GI problems, even with SCD, eliminate them and see what happens. The same goes for butter. Some people can't eat it; at least not at their present stage of healing.

Just before I started the KD (in 2011 using Atkins induction), I binged on nuts for two months and gained quite a few pounds, to the point where I was almost obese again. I tried nuts again recently, strictly limiting the amount that I kept in the house, and did not have the weight gain or binging problems (how can you binge when there are none left?), but after a while I started to feel carb craves again. That did it -- no more nuts! And the carb craves have settled back down.

That left a hole, though, in my already very restrictive diet and (as I mentioned elsewhere) and I have been experimenting again with SMALL amounts of goat cheese. I find that I have no tendency to binge on it (unlike cheese from cow's milk) because it works just like eating fat (which it is) -- after having some it is so satiating that I can hardly stand to look at it, let alone eat more. But it's good when I haven't had any for a day, and it seems to possibly be supplying nutrients that might otherwise be in short supply.

I do react to large amounts of dairy (as when doing a food challenge test, or when binging on cheese from cow's milk), but as far as I can tell that is a FODMAP reaction, suggesting a SIBO problem or some other upper GI microbial overgrowth issue. I got the same kind of reaction a year ago when I increased the amount of avocado I was eating after dropping some other staple (eggs, maybe?) as part of an elimination/challenge test. I find that I can handle one avocado a week, with no more than 1/4 in any one meal. I didn't have any this week. Avocados are also a high histamine food, and that might be part of it. They need to be low-carb California avocados (or similar), by the way, as dark on the outside as you can find them.

I want to repeat, dogmatically (for the benefit of new folks here): do not consume pasteurized, homogenized industrial "dairy" products that even cows can't digest. They are poison. This is not a matter of whether humans are adapted to eat the food or not. No amount of time would allow people that are fully human to adapt to eating pure poison, I don't think. We might adapt, but would we still be human?

As I noted in the other post, pasteurization per se, while not desirable, may not be a significant issue with butter and with high-quality (for us in the US that often means "imported") aged cheeses that contain little protein. And if you have FODMAP issues then it needs to be "hard" cheese, not soft. And if you still have problems even with small amounts, don't eat it!
 
Re: Ketogenic Diet - Path To Transformation?

OK, I may have found my limit. At 9 x 648 mg (or whatever it is) I still don't feel any "burn" but I experienced a major wave of nausea an hour or two after taking the betaine HCL this morning, while waiting at the light rail stop. That might be the first clue. I think I will cut back to 6 capsules and hope the nausea passes soon.

I leaned forward and rested my head on the extended handle of my rollabout computer case while sitting (couldn't really stand) at the train stop. People probably thought I was one of those mental cases roaming the streets (that double as mental health facilities now). I might well think that myself.
 

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